高血压不同并发症患者动态血压特点分析  

Characteristics of Ambulatory Blood Pressure in Hypertensive Patients with Different Complications

作　　者：谢勇[1] 张丽华[2] 胡大军[1] 唐翠英[1] 郭满容[1] 宁阳根[3] 

机构地区：[1]郴州市第一人民医院心内科,湖南郴州423000 [2]郴州市第一人民医院信息统计科,湖南郴州423000 [3]中南大学湘雅医院心内科,湖南长沙410008

出　　处：《现代生物医学进展》2010年第4期729-730,737,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨高血压不同并发症患者动态血压特点。方法:选取123例确诊为高血压病的患者,根据合并不同的并发症分为四组,即单纯高血压(EH)组、高血压合并心房颤动(EH-AF)组、高血压合并腔隙性脑梗死(EH-LI)组和高血压合并左室肥厚(EH-LVH)组,行24H动态血压监测,分析动态血压各参数的变化。结果:合并有各种并发症的原发性高血压患者,其3级高血压所占百分比明显高于单纯原发性高血压,其平均收缩压和平均舒张压及收缩压、舒张压负荷值及血压昼夜波动节律异常均高于单纯原发性高血压患者;高血压合并左室肥厚患者,与高血压合并心房颤动及腔隙性脑梗死患者比较,平均收缩压和平均舒张压及收缩压、舒张压负荷值及血压昼夜波动节律异常均升高。结论:血压水平、血压负荷及血压昼夜波动节律异常与高血压并发症密切相关;高血压病合并不同并发症,其动态血压参数有不同特点。Aim To study the characteristics of ambulatory blood pressure changes in essential hypertensive patients with different complications. Methods： 123 patients with essential hypertention（EH） were carried out 24-hour ambulatory blood pressure （ABPM）[EH, EH complicated by atrialfibrillation （EH-AF）, EH complicated by lacunar infarction （EH-LI）, EH complicated by left ventricular hypertrophy（EH-LVH）]. Analyzed the results. Results： The percentage of grade 3 EH in EH with complications is higher than that in EH without complications. Parameters of ABPM （including 24hSBP, 24hDB, dSBP, dDBP, nSBP, nPDB, d SBPL, d DBPL, n SBPL, d DBPL, abnormity in circadian rhythm of blood pressure） in EH with complications are higher than those in EH without complications. Parameters of ABPM （including 24hSBP, 24hDB, dSBP, dDBP, nSBP, nPDB, d SBPL, d DBPL, n SBPL, d DBPL, abnormity in circadian rhythm of blood pressure） in EH-LVH are higher than those in EH-AF and EH-LI. Conclusion： Blood pressure level, Blood pressure loading and abnormity in circadian rhythm of blood pressure may play a role in EH with complications. Parameters of ABPM are diference in essential hypertensive patients with different complications.

关 键 词：动态血压 并发症 原发性高血压 

分 类 号：R544.1[医药卫生—心血管疾病]